Using Rupture on creeps in combination with Carnivore is a good way to gain Health and Mana.
If you're having difficulty feasting upon champions, try eating minions until you're larger.
Try to line up your attacks with Vorpal Spikes so that they kill minions and harass enemy champions at the same time.
Fizz's spells scale off Ability Power - consider getting items like Zhonya's Hourglass or Banshee's Veil against teams that have high burst threat - and items like Lich Bane or Rabadon's Deathcap if you think you can survive without the Health.
Since Fizz can move through units, find opportunities in lane to walk through minions and apply Seastone Trident's passive - following it up with the ability's active attack after a few seconds.
Fizz's ultimate ability, Chum the Waters, can be aimed at an enemy or towards the area where you think they'll be going.
The Cho'Gath Fizz synergy stats shown here demonstrate the areas of his gameplay that do better (or worse) when paired with Fizz, compared to his overall stats. Significant differences are areas of focus that highlight how his gameplay changes when paired with this other champion.
Overall, Cho'Gath sees a very large drop in his KDA (ratio of kills and assists to deaths) when paired with Fizz. His KDA worsened from NaN to NaN. This fall shows that Fizz helps Cho'Gath perform poorer in ranked League rounds. Yet, the small difference proves that this performance change is not very impactful.
When Cho'Gath tries to synergize with Fizz, he gets a barely noticable drop in his full damage output. This difference could demonstrate that Fizz does not provide protection for him to dish out more damage or that his support also helps increase the round's duration. Similarly, when Cho'Gath is played together with Fizz on the same team, he usually scores many fewer killing sprees than when he plays alone. This is contrasting evidence that he is worse when playing with Fizz.
Additionally, when Cho'Gath plays with Fizz on the same side, he usually receives a little more damage than when he plays alone. Taking more damage may mean that Fizz does a poor job of covering Cho'Gath during teamfights.
There is no universally accepted best companion for Cho'Gath that will always be his top ally. Yet, Fizz is a superb ally for Cho'Gath. By locking into the same side as Cho'Gath, he raises their win rate by 4.7% to 54.2%. This signals that there is a strong strategic relationship between Cho'Gath and Fizz that results in them performing better together than alone.
Fizz has a greater difficulty than Cho'Gath. That means you should be very careful when arranging Fizz allies to play with, as they will have to have a greater level of skill to be able to do well with you.
Playing alongside, Cho'Gath players should see an overall large increase in your team’s capability to to do a lot of AP damage. When paired, these champs can blast through enemies with magic damage.
Although, by aligning Cho'Gath and Fizz together, you probably will not be granting your other allies a lot of crowd control. Make sure to have other champions on your team that nullifies this gap in this pairing's playstyle.
Regardless of your Fizz ally's ability, you should focus on maximizing your gold income, warding to avoid ambushes, and taking down objectives. If you do this, you should do well, regardless.
If you would like to learn all of the intricacies of Cho'Gath to pair well with Fizz during both the laning and mid / late game phases of LoL rounds, you should keep reading to master some more tips and tricks for this champion pairing. If you use the build and stats shown above, you will increase your win rate significantly.
The most crucial items to have in your Cho'Gath and Fizz synergy build include Unending Despair, Sunfire Aegis, and Thornmail. When Cho'Gath combined at least these three items in his build, he did a lot better when paired up with Fizz than with most other typical builds. In fact, Cho'Gath had an average win rate of 54.2% when playing alongside Fizz with these items in his kit.
To have the greatest probability of crushing your oponents, you should take the Grasp of the Undying, Demolish, Conditioning, Overgrowth, Legend: Tenacity, and Triumph runes from the Resolve and Precision rune sets. Out of all the rune sets players used for this team composition, this mix of runes yielded the top win rate. Moreover, these runes averaged a 54.2% winrate overall.
If you want to see Cho'Gath with Fizz cooperations tips and builds for a a distinct division, feel free to select one from the selection menu provided above. By default, the statistics and build suggestions given are calculated using every round run with both champions.